# WEST BEND CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780752923
- **Authorized official:** MR. DANIEL MYERS (PRESIDENT)
- **Authorized official phone:** (712) 293-0117

## Contact information

- **Practice address:** 203 4TH ST NW, WEST BEND, IA 50597-5114
- **Practice address phone:** (515) 887-4071
- **Practice address fax:** (515) 887-3973
- **Mailing address:** 1512 PIERCE ST, SIOUX CITY, IA 51105-1246
- **Mailing address phone:** (712) 293-0117
- **Mailing address fax:** (712) 293-0356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 740851 | IA | Yes |

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0805275 | — | IA |
| 01 | — | 65444 | BCBS IA | IA |
| 01 | — | F250511 | MIDLANDS CHOICE PPO | IA |